ArticleRadiology case reports2026
Use of a recanalized umbilical vein to embolize bleeding varices: A case report.
Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
This case report details the successful management of life-threatening gastric variceal bleeding in a female in her 60s with decompensated liver cirrhosis. The patient presented with hematemesis and hemorrhagic shock. After initial resuscitation, an esophagogastroduodenoscopy identified large gastric varices with signs of recent bleeding. A conventional transfemoral endovascular attempt to embolize the varix failed due to tortuous venous anatomy. Given the failure, an alternative approach was utilized by accessing a patent, recanalized umbilical vein. Under ultrasound guidance, this percutaneous transumbilical route provided direct access to the portal venous system. A catheter was successfully navigated to the coronary vein feeding the gastric varix, and embolization was performed using a liquid embolic system, achieving complete hemostasis. This case highlights the transumbilical approach as a safe and effective alternative for the endovascular treatment of bleeding gastric varices when traditional access is not feasible.
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